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Individual
DR. JENNIFER ALISSA VASQUEZ
Active
Individual
DR. JENNIFER ALISSA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCSW-S
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
54262
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13663799
CAQH
TX
Enumeration date
12/23/2015
Last updated
07/16/2026
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